IPACHTE #NL -1 y- �a. Harnett County Department of Public Health 28158
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: '6n -cb,N s v sn
ISSUED TO: to %-A Nl E GU C- l SUBDIVISION LOT # 'D
NEW( REPAIR ❑ EXPANSION ❑
Type of Structure: f") N-N . Ql - >'
Proposed Wastewater System T e: Q--S° a vet 4 *}
Projected Dajly Flow: Y 3 ® GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes '2<No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes -;9�,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well I CDQ feet Permit valid for:
XFive years
Permit conditions: C ❑ No expiration
Authorized State Agent:: Date: \116-1 )11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ' of other permits. The permit holder is res onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Impro vent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout. ^
ISSUED TO: Rom NIL Ut;.%St 2b PROPERTY LOCATION: oo�� �N�US `w
SUBDIVISION LOT #
Facility Type: M P —A "bcr,C Ql -Y'tW -)�( New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'T�< No Basement Fixtures? ❑ Yes X No
Type of Wastewater System ** Cpl �UL�\ Sys t �n (Initial) Wastewater Flow:
(See note below, if applicable ❑)
CA � 0�-3 (Repair)
Installation Requirements /Conditions Number of trenches 5
Septic Tank Size ICVdd gallons Exact length of each trench L-1 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. A 'a.�t inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
' � 0 GPD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specified is different from the type speci>ed on the app lication. /accept the apecifcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorizationis susl cation if the skeZlan, plak or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subje�to complianPh is wx�,ons a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: } -o Date:
CIO, nst-r Authorization Expiration Date: 1
HTE#
Harnett County
. �•
Department of Public Health
Site Slietch
PROPERTY LOCATON: COQ` AA Gv
ISSUED TO: c u C v-g,� SUBDIVISION
Authorized State Agent: Sal- 'yES1- ioW��i
Date:
yallel
�noeti�s o A\) 60�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow ( 1949): 3 ��
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual r-1 Well
Evaluation Meth oAug ort g ❑ Pit ❑ Cut
Type of Wastewater: -El--,sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
'PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
VVII elf
gS31tGL
76� s �sP
�5
-5
Vn-L, res'y
6,, L
72i 5ZI J
tz sLL
�_Nsla -P
.�
Description
Initial
S st m
Repair System
Other Factors (.1946):
Site Classification (.1948): ID
Evaluated. By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR